Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Behavioral Services LLC

Organization Behavior Analyst · NPI 1912572330

Blossom Behavioral Services LLC is a Behavior Analyst in Ave Maria, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4263 Nevada St
Ave Maria, FL 34142-5028
Phone: (954) 882-2142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Occupational Therapist Taxonomy 225X00000X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X

Record details

NPI number1912572330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Telma Suares — Owner · (954) 882-2142
Other names Success On The Spectrum
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address4263 Nevada St, Ave Maria, FL 34142-5028

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